physical therapist

physical therapist assistant

certified occupational therapy assistant

occupational therapist

speech language pathologist

Tender Touch Rehab Services, LLC

When I started in the location I was assigned I found the treatment approach in general was subpar. Therapy treatments were the same since I started my career 27 years ago. Work wasn't challenging for me. I have been introducing a more advanced treatment approach and is gradually gaining traction. 

I come to work. I get my list of patients for the day and treatment time for each patient. We have no schedule. We pick patients who are ready and willing. Sometimes I waste15-20 minutes just looking for a patient I could treat. I have to be flexible with my lunch break depending on various things such as treatment duration for each patient, motivation, preferences and cooperativeness of patients since about 95% of our patient population have cognitive impairments.

I find there is no continuity of care. Most patients do not have a primary therapist assigned. Infected patients like contact precaution such as C-DIff or behavioral patients were assigned to me. These patients somehow has a primary therapist. Management has been changing for the better though. 

There is only one rehab. technician. For the longest she was like a personal assistant to the rehab. director until the staff started making comments about the unavailability of the rehab. tech. to assist. clinicians in the gym. This situation has been improving. 

The hardest part of the job is having no actual schedule for the day, no primary therapist for the majority of the patients, we have to pick up and return the patients back to their units after treatment though this area is improving. There is no one to assist clinicians but rely on each other when working with dependent patients or needs a two person assist. There has been an improvement in this area with the rehab tech. being more available to the clinicians.

In my experience, this company reflects many of the common challenges found in contract rehab organizations, including a strong emphasis on billing metrics and risk management, often at the expense of employee support or patient-centered care.

What makes this organization stand out—unfortunately—is its management structure. Clinical leadership roles are often filled based on convenience rather than experience or credentials, which can lead to inconsistent supervision and a lack of clinical guidance. Managers are expected to follow highly rigid schedules, clock in and out using a complicated timekeeping system, and often lack basic flexibility or decision-making authority typical in similar roles elsewhere.

The result is a workplace culture marked by micromanagement, limited autonomy, and high pressure. This can be particularly difficult for clinicians working in emotionally demanding settings, where empathy and clinical judgment should be prioritized. Decisions about patient care—such as duration of treatment or discharge timing—are frequently dictated by non-clinical metrics, without always considering medical appropriateness.

Compensation is below average for the industry. PTO is difficult to schedule, and the pay cycle is very odd - employees get paid on different days each month, and the amount varies.

There has been increasing awareness in the wider rehab community about these issues, which may explain why open positions are difficult to fill. I encourage prospective employees to speak with current or former staff before applying.

Scamming new grads into offering them the lowest salary possible under statement that 6 months mentorship will be provided. Total lie. I started as a new grad and there was absolutely no mentorship offered. 3 days to learn the EMR and afterwards the expectations were that I perform as a seasonal therapist. So I performed all the duties of the OTR but got paid pretty much a COTA salary. No one tells you this, but we were expected to practice unethically due to 93-95% productivity expectations which are completely unrealistic. All this company cares is money making; so as a therapist, you are nothing but a billing machine. No one really cares about the quality of patient care as long as you bill. No supplies; don't even try to ask for the basic stuff. If you really care, you buy your own stuff and no one will reimburse you for anything. Workplace harassment was an every day occurrence. Barely any support from HR. Money, money, money. That's all they care about. And they will get it by either hiring all new grads and paying them close to nothing or freezing your yearly raises despite the fact that the contract we sign states that raises will be given every year. And if you don't like that the company breeches their own contracts... of well, you are free to go. That's how much they care about you as a professional. 

Working for Tender Touch Rehab Services  was good and bad. The great parts about the job is you get to learn more about the healthcare system and different insurance plans. The residents and some of the therapists are awesome and you learn a lot from them. I would not recommend working here because management only sees rehab techs as robots and not workers. Also, in this position you do not get any vacation time, some therapists will pretend to be your friends but talk badly about you behind your back or to other patients or coworkers. 
If there is a problem in the workplace, management does not care or handle it accordingly. Good workers are not appreciated here and the work environment is toxic. I was fired because of accusations that were not true and management did not do a proper investigation, they just believed what someone told them behind my back. The nursing department and the rehab department constantly clash and it is challenge everyday to complete work because everyone is out for themselves. Patients are treated like a number and nothing else.

Many SAR/LTC facilities are going in-house for physical therapy, meaning Tender Touch is losing facilities. If the facility offers you a position to work for them, you're more than welcome to... except Tender Touch will sue you for breaching their "non-compete" contract. Or, you stay with Tender Touch, get thrown around from building to building, and you don't get a floater's salary. The productivity standards are pretty ridiculous (90% every day) and since most treatments were in-room due to covid, it is very hard to meet those standards. Overall, I worked with a great group of therapists and I am extremely grateful for the friendships and experience I now have but the company is really tanking. I always felt like "today could be the day I get laid off or we lose our contract with the building." Very scary. Also they lied about tuition reimbursement so that was annoying. And everyone in the company got a pay cut as soon as I started working there. That was also very annoying.

The company pay is horrible and they come in to "attempt" to change the environment within different rehab departments. Their goal is to have rehab team with 1 to 1 evaluating therapist PT/OTs and fill the rest of the team with COTA/PTA which will eventually burnout the evaluating  therapist (Just so they can save money). They literally came in and reduced all therapist salary/hourly rate at our facility and had no empathy for new employees. They also stated that they will only promote within their own company. So if they come in to purchase/rent your rehab department your job is NOT safe and they will feed you LIES! Getting started with paperwork ect was terrible and unorganized. They offered a few therapist jobs, the next day took the offer away and then offered the job back. Terrible Company! They are taking advantage of COVID and using this time to come in to buyout other rehab departments to make the therapy department "better". Don't believe anything they tell you, its all LIES! 

typical day:  clock in, get your patient list, organize and treat your patient either in the patient's room or bring them to the gym. Get all resident's upstairs for their lunch, the clinicians would eat their lunch except for SPL who would be working on feeding/swallowing disorders in some of the patient, we did not have to clock in/out for lunch but most took only 30-45 minutes.Finish  the treatment day, do documentation if you were unable to do point of service. Plan for treatments the next day, clock out . 
We would do co-treats with other disciplines if able. We would have to put in 2-3 weeks prior to us going for course training. Most of the patient's were friendly and enjoyed having a good time in therapy. 

The great parts about the job are the patients and seeing them succeed. Some of the therapists I have met are great at what they do and are professional. The bad parts are, they constantly have roaches and bug problems and nothing is done to solve the problem. Patients are mistreated and some of the workers here will try to get others to do their job for them or do it when they want to. Management treats workers like robots. The regional manager is unprofessional and looks down on others. Too many people here do not speak or come to you about an issue or what you did wrong. They expect you to know what is wrong. You cannot trust anyone here. Most people are out for themselves and the work environment is toxic. Management and some of the therapists only care about money and see the patients as numbers. Good workers are not valued here and get in trouble for speaking up for themselves.

Overall, my facility was pretty good (SNF), as these things usually change facility to facility. Our productivity as Evaluating therapists was 92% on normal days, and for assistants was slightly higher, which is absolutely ridiculous and impossible. Low paying for new grads. During this past year, anyone who was not a new grad had their pay cut 2-3x. During COVID they tried to sustain the hours in my facility even though caseload was low and they let us have lower productivity, but that only lasted 1-2 months, then we went from full time hours of 40 hrs/week to 30, but luckily still had the benefits. They make you sign a non-compete form, so watch out. Also, they keep losing contracts with facilities. If that happens, they try to place you somewhere else, but it doesn’t always work.

As a COTA with minimal experience in rehab. I was under the impression from the interview that I would be supported in anyway i needed both from my recruiter and DOR, even the post stated, "New Grads welcome". Unfortunately that was not the case. On the first day I found out that there is no mentorship program, no training, no orientation, management does not understand the concept of shadowing nor providing support. Productivity is at the top of their list, which is at 90%. For multiple days I was told a "plan" would be set in place but no such "plan" existed and was told to learn from "YouTube" videos. I have never felt so unheard and invalidated in my career as a COTA. The team did not appear cohesive, no one really talked to one another, just focused on their own work. 

Top Job Titles	Average Salary
Physical therapist 1870 salaries reported	$49.20 per hour
Physical therapist assistant 1622 salaries reported	$36.20 per hour
Certified occupational therapy assistant 1206 salaries reported	$35.65 per hour
Occupational therapist 1250 salaries reported	$47.06 per hour
Speech language pathologist 805 salaries reported	$46.97 per hour

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